Organization · Type 2 NPI

St. Johns Urgent Care & Medical Corporation

General Practice Physician · Los Angeles, CA

NPI number 1023524980 Active

Practice location

1138 N Western Ave
Los Angeles, CA 90029-1702

Call (323) 957-9300 Map

Fax (323) 957-9315

Mailing address

1138 North Western Ave
Los Angeles, CA 90029-1702

Specialties and licenses

Taxonomy	Code	License
General Practice Physician Primary	208D00000X	A50108 (CA)

General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

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NPI record

NPI: 1023524980
Entity type: Organization (Type 2)
Issued: Dec 14, 2017
Last updated: Dec 20, 2017
Status: Active
Subpart: Yes of ST .john Urgent Care & Medical Corporation

Other names

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None · former legal business name

Authorized official

Mike Mansour Rostami, MD
Medical Director/ Owner
(323) 957-9300

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1023524980

St. Johns Urgent Care & Medical Corporation's National Provider Identifier is 1023524980, issued on Dec 14, 2017. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Los Angeles, CA. The record was last updated on Dec 20, 2017.